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psnet.ahrq.gov/issue/listening-and-question-asking-behaviors-resident-and-nurse-handoff-conversations-prospective
June 27, 2018 - June 27, 2018
An observational study of postoperative handoff standardization failures … 2021
Association between paediatric intraoperative anaesthesia handover and adverse postoperative
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psnet.ahrq.gov/issue/accidental-iatrogenic-pneumothorax-hospitalized-patients
April 03, 2005 - Association between night-time surgery and occurrence of intraoperative adverse events and postoperative … 2016
Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicator for Postoperative
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psnet.ahrq.gov/issue/mortality-rate-after-nonelective-hospital-admission
January 22, 2016 - Use of unsolicited patient observations to identify surgeons with increased risk for postoperative … December 13, 2013
The effect of hospital organizational characteristics on postoperative
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psnet.ahrq.gov/issue/new-infusion-syringe-label-system-designed-reduce-task-complexity-during-drug-preparation
February 13, 2019 - February 13, 2019
Changes in safety attitude and relationship to decreased postoperative … August 4, 2021
A retrospective audit of postoperative days alive and out of hospital,
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psnet.ahrq.gov/issue/inter-rater-reliability-classification-system-hospital-adverse-drug-event-reports
March 30, 2011 - Effectiveness of an information technology intervention to improve prophylactic antibacterial use in the postoperative … September 23, 2020
Changes in safety attitude and relationship to decreased postoperative
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psnet.ahrq.gov/issue/analysis-major-errors-and-equipment-failures-anesthesia-management-considerations-prevention
May 27, 2011 - Use of unsolicited patient observations to identify surgeons with increased risk for postoperative … 10, 2011
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An observational study of postoperative
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psnet.ahrq.gov/issue/first-do-no-harm-balancing-competing-priorities-surgical-practice
December 12, 2012 - Association between night-time surgery and occurrence of intraoperative adverse events and postoperative … September 26, 2012
The role of surgeon error in withdrawal of postoperative life support
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psnet.ahrq.gov/issue/when-should-multicampus-hospital-be-considered-single-entity-public-reporting-patient-safety
June 28, 2011 - AHRQ-PSI) and the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) postoperative … 2011
Adherence to Surgical Care Improvement Project measures and the association with postoperative
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psnet.ahrq.gov/issue/using-agency-healthcare-research-and-quality-patient-safety-indicators-targeting-nursing
April 03, 2017 - April 3, 2017
How valid is the ICD-9-CM based AHRQ Patient Safety Indicator for postoperative … January 20, 2010
Detection of postoperative respiratory failure: how predictive is the
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psnet.ahrq.gov/issue/sharing-lessons-learned-prevent-incorrect-surgery
July 16, 2015 - August 21, 2013
Predictors of successful implementation of preoperative briefings and postoperative … August 18, 2010
Predictors of successful implementation of preoperative briefings and postoperative
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psnet.ahrq.gov/node/49523/psn-pdf
November 01, 2006 - would have provided the staff important information about the patient's
voiding function and risk for postoperative … clinical reminders can be configured and made available prior to writing orders and as
part of the postoperative
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psnet.ahrq.gov/node/72517/psn-pdf
November 25, 2020 - The unit nurses had
significant concerns about the patient’s status in the morning of the first postoperative … The patient was booked for an urgent exploratory laparotomy due to persisting concerns about
postoperative … review the
situation, and confirmation bias also influenced the course of events during the first postoperative … X, I need you to re-evaluate this patient because she is doing worse than expected on
postoperative … Cognitive
Bias Impact on Management of Postoperative Complications, Medical Error, and Standard of Care
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psnet.ahrq.gov/web-mm/delayed-diagnosis-kidney-transplant-complications
January 29, 2020 - He was discharged home on postoperative day (POD) 4 with slow graft function. … Therefore, the decision to obtain an early postoperative ultrasound is usually driven by high-risk features … function alone, as in the patient in this case, has not traditionally been a factor that prompts early postoperative
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psnet.ahrq.gov/issue/routine-multidisciplinary-review-severe-maternal-morbidity-associated-reduction-preventable
September 02, 2020 - cardiovascular operating room to cardiac ICU is associated with improvements in care beyond the immediate postoperative … 2020
Potentially inappropriate medication administration is associated with adverse postoperative
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psnet.ahrq.gov/node/49656/psn-pdf
June 01, 2012 - On postoperative day 2, the patient was doing well when seen
by the comanaging hospitalist. … When the hospitalist next saw the patient (postoperative day 3), the patient was even more hypoxic. … This can untether surgeons from postoperative care responsibilities, leaving hospitalists to evaluate … responsibility for managing chronic medical issues, such
as diabetes, and medical complications such as postoperative
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psnet.ahrq.gov/node/49606/psn-pdf
August 01, 2010 - Explain the most effective strategies for managing anesthesia and postoperative pain control in the … Blood sugar should be
monitored intraoperatively and throughout the postoperative period, and insulin … The plan was to use general anesthesia supplemented by use of an
epidural catheter for postoperative … undergoing
elective knee replacement surgery, although using only an epidural for both intra- and postoperative … nausea
and vomiting.(4) An epidural can provide excellent postoperative pain control, thereby lowering
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psnet.ahrq.gov/web-mm/emergency-error
January 18, 2013 - The UK emergency laparotomy network study identified variability in the use of postoperative critical … patients with some effect.( 15 ) Finally, another study extended the checklist paradigm to pre- and postoperative … not yet been tested for emergency admissions.( 16 ) Emergency laparotomy results in a high rate of postoperative … performing and worst performing hospitals.( 18,19 ) High quality and reliable processes of care in the postoperative … Postoperative medical complications are the main cause of early death after emergency surgery for colonic
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psnet.ahrq.gov/node/47049/psn-pdf
July 10, 2019 - other-opioid-crisis-hospital-shortages-lead-patient-pain-medical-errors
https://psnet.ahrq.gov/issue/postoperative-opioid-prescribing-getting-it-rightt
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psnet.ahrq.gov/node/48179/psn-pdf
August 21, 2019 - reducing-surgical-mortality-scotland-use-who-surgical-safety-checklist
https://psnet.ahrq.gov/issue/postoperative-adverse-events-inconsistently-improved-world-health-organization-surgical
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psnet.ahrq.gov/web-mm/death-pca
January 06, 2017 - Opioids are the most commonly used class of medications for postoperative pain management.( 5,6 ) For … more than four decades and now in almost every developed country, PCA remains an effective means for postoperative … Take-Home Points PCA is widely used and is generally an effective method of postoperative pain management … Patient-controlled drug delivery for acute postoperative pain management: a review of current and emerging … Capnography monitoring enhances safety of postoperative patient-controlled analgesia.